South Georgia Urology Clinic, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTH GEORGIA UROLOGY CLINIC, P.C.

Practice address

803 N Jackson St
Albany, GA 31701

Phone

(229) 435-0832

Fax

(229) 435-2857

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rex O Ajayi, M.D.

Title

Physician

Phone

(229) 435-0832

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1104038058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72108",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31708",
            "telephone_number": "229-435-0832",
            "fax_number": "229-435-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31701",
            "telephone_number": "229-435-0832",
            "fax_number": "229-435-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA UROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-435-0832",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1080",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279518A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• South Georgia Sleep Professionals, LLC
• South Georgia Urology Surgery Center, LLC
• South West Georgia Behavioral Health Provider Services Inc.
• Southern Diagnostic Services, Inc.
• Southern Family Markets LLC (Southern Family Market)
• Southern Home Care

• Urology Physician in Albany, GA
• Providers in Albany, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.